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5 Day Site Safety Checklist <br /> SITE NAME: Cove Contractors <br /> 3242 S. El Dorado Street Stockton <br /> CA <br /> SITE NUMBER: <br /> Check if OK. NA if not applicable <br /> DATE: <br /> Pre-mobilization <br /> Updated health and safety plan <br /> Emergency phone numbers for utilities included <br /> Proper personal protective equipment(PPE)selected&inspected- <br /> Hard hat <br /> Safety glasses(with side shields) <br /> Hearing protection <br /> Safety vest <br /> Work gloves <br /> Sampling gloves(PM specify type) <br /> Protective coveralls(specify,Tyvek, Nomex,etc.) <br /> Safety boots <br /> Respirator/cartridges(PM identify proper cartridges) <br /> Other protective equipment- <br /> Eye wash(check expiration date) <br /> Fire extinguisher(visually inspected within last 30 days) <br /> First aid kit(inventory and check expiration dates) <br /> Safety cones(or flashing traffic light) <br /> Underground utility hazards identified and addressed <br /> (provide public utility one-call ticket or job number: ) <br /> DATE <br /> On-Site Pre-Work <br /> Review site hazards and HASP w/site workers <br /> Review route to hospital <br /> Site workers sign HASP acknowledgement page <br /> Place HASP and emergency numbers in visible location <br />